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1982137915
CHARISSE BANAWIS LIN
GEORGETOWN, TX
NPI
1982137915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP133397)
Enumeration Date
2017-04-06
Last Update Date
2023-10-20
Business Address
CHARISSE BANAWIS LIN FNP
940 W UNIVERSITY AVE STE 105
GEORGETOWN, TX 78626-5430
Phone number: 512-763-5149
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Mailing Address
CHARISSE BANAWIS LIN FNP
13520 OREGON FLATS TRL
AUSTIN, TX 78727-6363
Phone number: 512-450-4345
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